tci ED Coding & Reimbursement Alert - 2014 Issue 10

You Be the Coder: Draining a Paronychia? Look For Mention of Incision and Drainage, Cleaning

Question: I have a coding question on a procedure that I would like to pose to you, please. An external audit advised this should be coded as 10060. It was originally billed as 26010.   Here is the procedure note from the chart documentation: “Musculoskeletal/extremity: Extremities: grossly normal except: noted in the palmar aspect of distal phalanx of left thumb: decreased ROM, pain, tenderness, mild swelling, There is no evidence of ecchymosis, warmth, joint tenderness, ROM: pain with active range of motion left thumb. No pain with passive range of motion left thumb. No pain with range of...

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